MEDICARE: DR. ROBERT LOUIS BONNER JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD045370L	PA

General Provider Information

NPI Number	:	1295814267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT LOUIS BONNER JR. M.D.

Provider Business Mailing Address
First Line	:	41 UNIVERSITY DR STE 300
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-1873
Country	:	US
Telephone Number	:	610-772-6889
Fax Number	:	215-710-5181

Provider Business Practice Location Address
First Line	:	3331 STREET RD STE 140
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-2052
Country	:	US
Telephone Number	:	215-245-8873
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	03/05/2025

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